G & K HEALTH CARE PROFESSIONALS LLC


Address: 7700 Alaska Ave Nw, Washington, DC 20012-1422
Phone: 3016755755

G & K HEALTH CARE PROFESSIONALS LLC (NPI# 1053684209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053684209
Entity Type Organization
Organization Name G & K HEALTH CARE PROFESSIONALS LLC
Practice Address 7700 Alaska Ave Nw
Washington
DC 20012-1422
Practice Telephone 3016755755
Enumeration Date 2012-02-20
Last Update Date 2012-02-20
Authorized Official Name HELEN KEMBUMBARA (MANAGER)
Authorized Official Telephone 3016755755
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
DC 1912217456 05

Office Location

Street Address 7700 ALASKA AVE NW
City WASHINGTON
State DC
Zip Code 20012-1422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437302312 Ahava Homes Day Training, Developmentally Disabled Services 7700 Alaska Ave Nw, Washington, DC 20012-1422 2008-10-23
1922365063 Elias Mbah Home Health Aide 7700 Alaska Ave Nw, Washington, DC 20012-1422 2012-04-13
1912217456 Helen Kembumbara Case Manager/Care Coordinator 7700 Alaska Ave Nw, Washington, DC 20012-1422 2010-10-18

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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City WASHINGTON
Zip Code 20012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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